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General NPI Number Information
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NPI Number | 1104040948
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Entity Type | Individual
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Provider Name | KAREN GIL-TOMMASINO RPA-C
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 3650 ROUTE 112
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City | CORAM
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State | NY
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Zip | 11727-4131
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Country | US
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Telephone | 631-320-3200
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Fax | 631-880-7603
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Provider Business Mailing Address
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Address Line | 465 BLUE POINT RD
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City | FARMINGVILLE
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State | NY
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Zip | 11738-1839
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Country | US
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Telephone | 631-732-5999
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Fax | 631-696-1132
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 007690
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License Number State | NY
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